Low Back Pain

What is Low Back Pain?

Low back pain is one of the most common musculoskeletal complaints, affecting athletes and active adults of all ages. It may result from muscle strain, joint irritation, disc issues, or movement dysfunction.

Common Symptoms

  • Aching, sharp, or stiff pain in the lower back

  • Pain that worsens with bending, lifting, or prolonged sitting

  • Muscle spasms or tightness

  • In some cases, pain radiating into the hips or legs

Physical Therapist Diagnosis

A PT performs a detailed exam of spinal mobility, posture, muscle activation, and functional movement. Special tests may rule out disc, nerve, or joint involvement.

Why it Happens

Poor lifting mechanics, muscle imbalances, limited hip mobility, or overuse often contribute. Sports involving repetitive rotation or impact can also stress the spine.

Why it Doesn’t Always Heal on Its Own

While some episodes resolve, untreated low back pain often recurs because the underlying weakness or mobility restrictions remain.

Ideal Physical Therapy Treatment

Treatment combines pain relief, mobility restoration, and strengthening. Dry needling can be highly effective for reducing muscle spasm and guarding.

Key components include:

  • Manual therapy to restore joint and soft tissue mobility

  • Dry needling for muscle tension and pain relief

  • Core stabilization training to support the spine

  • Hip and glute strengthening to improve load distribution

  • Education on posture and lifting mechanics

Expected Outcomes

Most people improve significantly within weeks. Long-term strengthening helps prevent recurrence.

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Lumbar Disc Herniation

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Shin Splints (Medial Tibial Stress Syndrome)